ST VINCENT HOSPITAL
NPI: 1477190882
· SANTA FE, NM 87505
· Neurology Physician
· NPI assigned 12/04/2019
$196K
Total Medicaid Paid
Provider Details
| Authorized Official | WADE, HOPE (CHIEF OPERATING OFFICER) |
| NPI Enumeration Date | 12/04/2019 |
Related Entities
Other providers sharing the same authorized official: WADE, HOPE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
131 |
$15K |
| 2021 |
433 |
$36K |
| 2022 |
498 |
$46K |
| 2023 |
513 |
$48K |
| 2024 |
769 |
$52K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
967 |
961 |
$69K |
| 99205 |
Prolong outpt/office vis |
302 |
294 |
$44K |
| 99215 |
Prolong outpt/office vis |
309 |
304 |
$33K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
179 |
168 |
$18K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
209 |
208 |
$14K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
176 |
176 |
$9K |
| 64615 |
|
51 |
50 |
$5K |
| 95912 |
|
30 |
29 |
$5K |
| 95886 |
|
40 |
39 |
$2K |
| 3074F |
|
53 |
53 |
$0.00 |
| 3078F |
|
28 |
28 |
$0.00 |